JESSICA CORLEY LANGTON

CHARLESTON, SC
NPI1164194668
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: SC  25938)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-10-02
Last Update Date2022-10-05
Business Address
JESSICA CORLEY LANGTON
171 ASHLEY AVE
CHARLESTON, SC 29425-4001
Phone number: 843-792-1414
Mailing Address
JESSICA CORLEY LANGTON
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200